Effects of midwife-led doula accompaniment combined with painless delivery on self-efficacy and pregnancy outcomes in parturients
Objective To explore the effect of midwife-led doula accompaniment combined with painless delivery in the nursing of primipara.Methods 120 primipara were selected and divided into routine nursing group and combined nursing group by random drawing method,with 60 cases in each group.Routine nursing intervention was implemented in the conventional nursing group,and the combined nursing group was combined with the midwife-led partner doula accompanying mode on the basis of painless delivery intervention.Results After intervention,the GSES score of the combined nursing group was higher than that of the conventional nursing group,and the scores of the self-rating Anxiety scale(SAS)and self-rating Depression Scale(SDS)were lower than that of the conventional nursing group(P＜0.05).The cesarean section rate of combined nursing group was lower than that of conventional nursing group,and the natural delivery rate was higher than that of conventional nursing group(P＜0.05).The first,second and total stages of labor in the combined nursing group were shorter than those in the conventional nursing group(P＜0.05).Conclusion The combination of midwifer-led doula with painless delivery can effectively improve maternal self-efficacy,reduce negative emotions and shorten labor time,which is worthy of clinical promotion.
Doula companionPainless deliveryDuration of laborSelf-efficacy
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